THANH MINH PHAN MD
NPI 1124656004
Psychiatry & Neurology - Psychiatry in Baton Rouge, LA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
5131 ODONOVAN DR STE 300, BATON ROUGE, LA 70808(225) 374-0400 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Dec 6, 2024, Nov 22, 2024 and 2 more (5 updates tracked since 2020).

About Thanh Minh Phan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THANH MINH PHAN MD (NPI 1124656004) is an individual psychiatry provider in Baton Rouge, Louisiana, licensed in Louisiana (342740) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124656004
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameTHANH MINH PHANCredential: MD
Location Address5131 ODONOVAN DR STE 300Baton Rouge, LA 70808-4792
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 374-0400
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1124656004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in LA · 342740✔ Licensed in NY · 333429
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5131 ODONOVAN DR STE 300, Baton Rouge, LA 70808

Secondary Practice Locations 2

Location 19229 Bluebonnet BlvdBaton Rouge, LA 70810-2808 · Phone (225) 215-7498
Location 2522 S 4th St Ste 200Fulton, NY 13069-2941 · Phone (315) 598-7400

Other Identifiers 2

Other322686LA · Training License Number
Other342740LA · Louisiana State Medical License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thanh Minh Phan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608299680
PECOS Enrollment IDI20241231002229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Thanh Phan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7777 HENNESSY BLVD, STE 6002
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 873 clinicians in this Medicare group
Specialist
2306 S BURNSIDE AVE, SUITE B
Gonzales, LA 70737
  • Reassigned Medicare billing, Louisiana enrollment
  • 18 clinicians in this Medicare group
Anesthesiology
110 W 6TH ST
Oswego, NY 13126
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
Family Medicine
100 PARK ST
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 201 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808
Psychiatry & Neurology (Psychiatry)
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808
Psychiatry & Neurology (Psychiatry)
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808
Nurse Practitioner (Psychiatric/Mental Health)
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808
Nurse Practitioner (Psychiatric/Mental Health)
5131 ODONOVAN DR STE 300
BATON ROUGE, LA 70808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thanh Phan's NPI number?

The NPI number for Thanh Phan is 1124656004. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Thanh Phan located?

Thanh Phan practices at 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808. The listed phone number is (225) 374-0400.

What is Thanh Phan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thanh Phan enrolled in Medicare?

Yes. Thanh Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thanh Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thanh Phan reassigns Medicare benefits to 4 organizations: Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA), Womans Physician Group (Gonzales, LA), Oswego Hospital (Oswego, NY) and Glens Falls Hospital Inc. (Glens Falls, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thanh Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thanh Phan accept?

Health plans from AmeriHealth Caritas Next and HMO Louisiana list Thanh Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thanh Phan affiliated with any hospitals?

According to CMS data, Thanh Phan is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Thanh Phan was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.